The evaluation of a mindfulness-based psychological intervention for patients with diabetes type 2 and emotional problems.

- candidate number

6819

- NTR Number

NTR2145

- ISRCTN

ISRCTN wordt niet meer aangevraagd.

- Date ISRCTN created

- date ISRCTN requested

- Date Registered NTR

18-dec-2009

- Secondary IDs

2008.13.005 Diabetes Fonds

- Public Title

The evaluation of a mindfulness-based psychological intervention for patients with diabetes type 2 and emotional problems.

- Scientific Title

The treatment of co-morbid emotional problems in people with diabetes type 2: Evaluation of a mindfulness-based psychological intervention.

- ACRONYM

DiaMind (Diabetes and Mindfulness) project

- hypothesis

1. A mindfulness-based psychological intervention (MBSR) will increase the emotional well-being and quality of life of patients with type 2 diabetes;
2. MBSR will improve self-care behavior;
3. MBSR will have a positive effect on blood pressure and heart rate variability in T2D patients with a high blood pressure.

Mindfulness-based psychological intervention (MBSR): the mindfulness-based intervention will be given in eight weekly sessions (including one booster session) of two hours to groups of eight to ten persons. The intervention will be based on a combination of existing protocols. Besides education about the mechanisms of stress, coping, and relaxation, there will be much emphasis on practicing mindfulness (e.i. breathing, moving, and observing and letting-go thoughts with non-judgemental attention) and there will be group discussions about relevant matters concerning the exercises and daily living.

Wait-list control group: The wait-list control group will continue to receive regular care (care-as-usual) and will be placed on a wait-list to receive the MBSR intervention six months later. Both interventions will be given by a psychologist.

A considerable proportion of the patients with type 2 diabetes experience emotional problems, varying from disease-specific worries to general symptoms of anxiety and depression. This emotional well-being is related to other unfavorable outcomes, like reduced quality of life, worse self-care, reduced glycemic control, complications, and mortality. A mindfulness-based psychological intervention may increase the emotional well-being in patients with diabetes, since the intervention has proven to be successful in various other patient populations earlier. The objectives of this randomized controlled trial (RCT) are: 1) to test the effectivity of a mindfulness-based psychological intervention (MBSR) aimed at increasing the emotional well-being and quality of life of patients with type 2 diabetes; 2) to examine which group of patients, with which characteristics (like the extent of complications and personality) will benefit most from the intervention; 3) to investigate the effect of the intervention on self-care, health care consumption behavior, glycemic control, and blood pressure. The recruitment of patients will take place in collaboration with one or two hospitals, during the standard annual checkup for T2D patients.